Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 33525 | CA |
N | 111NN1001X | Nutrition | 33525 | CA |
NPI | 1598119521 |
---|---|
Provider Name | Sarah Merritt |
First Address | Castro Valley, CA 94546-4161 |
Second Address | San Ramon, CA 94583-1295 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2016 |
Last Update Date | 27/03/2020 |